THE RELATIONSHIP BETWEEN TIMING OF PRIMARY PALATAL SURGERY, CLEFT TYPE AND HYPERNASALITY IN 3-6 YEARS OLD CHILDREN WITH CLEFT PALATE

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REZAEI PARISA; SADEGHI SABA; SAMANI MASOUMEH; YAZDI MARYAM; DERAKHSHANDEH FATEMEH; MEMARZADEH MEHRDAD

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Journal: Journal of Research in Rehabilitation Sciences Year:2014 | Volume:10 | Issue:2 Page(s): 228-238

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Title

THE RELATIONSHIP BETWEEN TIMING OF PRIMARY PALATAL SURGERY, CLEFT TYPE AND HYPERNASALITY IN 3-6 YEARS OLD CHILDREN WITH CLEFT PALATE

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Keywords

CLEFT PALATEQ2

HYPERNASALITYQ2

CLEFT TYPEQ2

TIMING OF INITIAL (PRIMARY) PALATAL SURGERYQ2

Abstract

Introduction: There are various types of cleft in the primary and secondary palate with various degrees of severity. Despite the relatively long history of palatal surgery, little consensus has been reached regarding the best surgical techniques, and even less regarding optimal timing of the surgery. No standard protocol is still available to address such issues as the ideal timing for CLEFT PALATE repair to attain optimal speech. This study was conducted to examine the frequency of preschoolers with CLEFT PALATE who demonstrate HYPERNASALITY. The relationship between the primary palatal surgery timing and the CLEFT TYPE with the severity of the HYPERNASALITY was also examined.Materials and methods: HYPERNASALITY of a group of 46 preschoolers, aged 3-6 years with repaired CLEFT PALATE, was assessed using the Universal Parameters for Reporting Speech Outcomes in Individuals with CLEFT PALATE- Farsi Edition. Participants had different CLEFT TYPEs including bilateral cleft lip and palate (BCLP; n=5, 10.9%), unilateral cleft lip and palate (UCLP; n=20, 43.6%), complete CLEFT PALATE (CP; n=10, 21.7%), cleft of the soft palate only (SPO; n=6, 13%) and submucous CLEFT PALATE (SubMC; n=5, 10.9%). Judgments of HYPERNASALITY were made by a certified speech and language pathologist and were made using a 4-point rating scale. 32children had a primary palatal surgery prior to 12 months of age, 8 had surgery at 12-18 months of age, and 6 had surgery after 18 months.Results: 78.3%t of the children demonstrated moderate to severe HYPERNASALITY. There were no significant differences between 5 groups of CLEFT PALATEs in terms of their HYPERNASALITY. The analysis, also, revealed no significant relationship between the age of primary palatal surgery and the severity of HYPERNASALITY.Conclusion: Due to the existence of severe HYPERNASALITY in all of the participants, more studies are needed to assess the effectiveness of different surgeries on speech of children with CLEFT PALATE. Because of the wide range of age in the participants of this study, there was the small number of children in each CLEFT PALATE group. Additional research is needed to determine if there are variables that might have masked the influence of timing of primary surgery and CLEFT TYPE on HYPERNASALITY severity.

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APA: Copy

REZAEI, PARISA, SADEGHI, SABA, SAMANI, MASOUMEH, YAZDI, MARYAM, DERAKHSHANDEH, FATEMEH, & MEMARZADEH, MEHRDAD. (2014). THE RELATIONSHIP BETWEEN TIMING OF PRIMARY PALATAL SURGERY, CLEFT TYPE AND HYPERNASALITY IN 3-6 YEARS OLD CHILDREN WITH CLEFT PALATE. JOURNAL OF RESEARCH IN REHABILITATION SCIENCES, 10(2), 228-238. SID. https://sid.ir/paper/143869/en

Vancouver: Copy

REZAEI PARISA, SADEGHI SABA, SAMANI MASOUMEH, YAZDI MARYAM, DERAKHSHANDEH FATEMEH, MEMARZADEH MEHRDAD. THE RELATIONSHIP BETWEEN TIMING OF PRIMARY PALATAL SURGERY, CLEFT TYPE AND HYPERNASALITY IN 3-6 YEARS OLD CHILDREN WITH CLEFT PALATE. JOURNAL OF RESEARCH IN REHABILITATION SCIENCES[Internet]. 2014;10(2):228-238. Available from: https://sid.ir/paper/143869/en

IEEE: Copy

PARISA REZAEI, SABA SADEGHI, MASOUMEH SAMANI, MARYAM YAZDI, FATEMEH DERAKHSHANDEH, and MEHRDAD MEMARZADEH, “THE RELATIONSHIP BETWEEN TIMING OF PRIMARY PALATAL SURGERY, CLEFT TYPE AND HYPERNASALITY IN 3-6 YEARS OLD CHILDREN WITH CLEFT PALATE,” JOURNAL OF RESEARCH IN REHABILITATION SCIENCES, vol. 10, no. 2, pp. 228–238, 2014, [Online]. Available: https://sid.ir/paper/143869/en

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